Valdosta State University Alumni Chapter of Atlanta Scholarship The Valdosta State University Alumni Chapter of Atlanta is committed to the recruitment, retention, and success of future VSU Alumni. It is through this mission that the VSU Alumni Chapter of Atlanta is presenting two scholarships to qualified applicants. Applicants must meet all requirements outlined below and complete the Valdosta State University Alumni Chapter of Atlanta scholarship application in its entirety. All majors are welcome to apply. Applications must be submitted no later than March 1, 2015 for consideration. Applicants must… 1. have a permanent residence in Georgia AND be a resident of one of the Metro-Atlanta counties: Dekalb, Fulton, Clayton, Cobb, Fayette, Gwinnett, Douglas, Henry, Rockdale, Forsyth, Cherokee, and Paulding 2. have a minimum overall GPA of 3.0 3. be an undergraduate student with a minimum of 30 credit hours completed OR graduate student with a minimum 9 credit hours completed by the time of application 4. agree to attend and participate in two Alumni Chapter of Atlanta events (specific details will be provided to finalists) 5. be enrolled at the time of application submission 6. be enrolled and registered for the semester that the scholarship is awarded 7. be in Good Standing with the University The Office of Alumni Relations will screen all applicants for the Valdosta State University Alumni Chapter of Atlanta Scholarship. Qualified applications will be sent to the Alumni Chapter of Atlanta Scholarship committee for review. Two VSU students (one undergraduate and one graduate), regardless of major, will be awarded a one-time, $1000 scholarship for the 2015-2016 academic year. Please complete each part of the application. If you are selected as a finalist the Valdosta State University Office of Alumni Relations will contact you. Valdosta State University Alumni Chapter of Atlanta Page 1 Part One: Personal Information Applicant Name: _______________________________________________________________ First Name Middle Initial Last Name VSU Student ID Number: ______________________ Birth date:_____________________ Address: ______________________________________________________________________ PO Box/ Street/Apt. _____________________________________________________________________________ City State Zip Home Phone: __________________ Cell Phone: ___________________ Email Address: ______________________________________________ High School: ______________________________________ Graduation Date: ______________ County of High School: __________________________________________________________ College/Program at Valdosta State University: ________________________________________ Major at Valdosta State University: _________________________________________________ Anticipated graduation date: _________________________ Please check appropriate status: Undergraduate Student ____ Graduate Student ____ Part Two: Student Essay This essay will be used as part of the consideration process for the Alumni Chapter of Atlanta Foundation Scholarship. This essay submission must be typed. Your essay should be no more than 750 words. Please complete the essay and attach it to this form. On your essay attachments, please be sure to include your full name and VSU Student identification number should your documents become separated. Essay Topic: How will your Valdosta State education prepare you for your chosen career? How will your local community in the metro Atlanta area benefit your collegiate experience and degree earned from Valdosta State University? Valdosta State University Alumni Chapter of Atlanta Page 2 Part Three: Applicant Signature I/we certify that the information provided on this form is accurate and complete to the best of my knowledge. I/we further understand that any false statements will result in forfeiture of my scholarship. I/we agree and permit the Office of Alumni Relations at Valdosta State University to access my academic and personal University records to verify that I meet all requirements of the scholarship application. I/we understand that release of this information is necessary to complete the scholarship application process. I/we understand that participation in two Valdosta State University Alumni Chapter of Atlanta events is a condition of receiving the Alumni Chapter of Atlanta scholarship. Applicant’s Signature __________________________________________ Date _____________ Parent/Guardian Signature ______________________________________ Date _____________ (Note: If you are under the age of 18, your parent/guardian must also sign.) Only complete scholarship packets (application, essay, and signature) will be accepted. Packets may be submitted electronically to alumni@valdosta.edu. Packets may also be mailed to: Director of Alumni Relations Valdosta State University 1500 N. Patterson Street Valdosta, Georgia 31698 Valdosta State University Alumni Chapter of Atlanta Page 3